Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PALOCOS CEMENT W/ GENTOPRYC

Facility

$2,000.00

Hospital Charge Code	270656062
Hospital Revenue Code	272
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

PALOCOS CEMENT W/ GENTOPRYC

Facility

$2,000.00

Hospital Charge Code	270656062
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

PAMIDRONATE 30 MG/10 ML INJ

Facility

$217.08

Service Code	HCPCS J2430
Hospital Charge Code	60628541
Hospital Revenue Code	636
Min. Negotiated Rate	$32.56
Max. Negotiated Rate	$52.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.53
Rate for Payer: Qualcare PPO/HMO/WC	$32.56

PAMIDRONATE 30 MG/10 ML INJ

Facility

$217.08

Service Code	HCPCS J2430
Hospital Charge Code	60628541
Hospital Revenue Code	636
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$108.54
Rate for Payer: Aetna Commercial	$82.49
Rate for Payer: Aetna Medicare Advantage	$65.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.36
Rate for Payer: Cigna Commercial	$108.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.53
Rate for Payer: Qualcare PPO/HMO/WC	$32.56
Rate for Payer: UnitedHealthcare Community & State	$6.86
Rate for Payer: Wellpoint Medicaid Managed Care	$6.17

PAMIDRONATE 90 MG/10 ML INJ

Facility

$288.23

Service Code	HCPCS J2430
Hospital Charge Code	60628543
Hospital Revenue Code	636
Min. Negotiated Rate	$43.23
Max. Negotiated Rate	$69.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.75
Rate for Payer: Qualcare PPO/HMO/WC	$43.23

PAMIDRONATE 90 MG/10 ML INJ

Facility

$288.23

Service Code	HCPCS J2430
Hospital Charge Code	60628543
Hospital Revenue Code	636
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$144.12
Rate for Payer: Aetna Commercial	$109.53
Rate for Payer: Aetna Medicare Advantage	$86.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.50
Rate for Payer: Cigna Commercial	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.75
Rate for Payer: Qualcare PPO/HMO/WC	$43.23
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: Wellpoint Medicaid Managed Care	$8.19

PANA SPRAY AIR MOTOR LUBRICANT

Facility

$265.00

Hospital Charge Code	270664999
Hospital Revenue Code	270
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$132.50
Rate for Payer: Aetna Commercial	$100.70
Rate for Payer: Aetna Medicare Advantage	$79.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.58
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.90
Rate for Payer: Oxford Commercial	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Commercial	$53.00
Rate for Payer: UnitedHealthcare Community & State	$8.37
Rate for Payer: Wellpoint Medicaid Managed Care	$7.53

PANA SPRAY AIR MOTOR LUBRICANT

Facility

$265.00

Hospital Charge Code	270664999
Hospital Revenue Code	270
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC

Facility

$111,092.31

Service Code	MSDRG 406
Min. Negotiated Rate	$33,826.18
Max. Negotiated Rate	$111,092.31
Rate for Payer: Aetna Commercial	$80,979.72
Rate for Payer: Aetna Medicare Advantage	$111,092.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,067.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,067.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,606.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,067.45
Rate for Payer: Cigna Commercial	$64,654.16
Rate for Payer: Cigna Medicare Advantage	$35,606.51
Rate for Payer: Clover Medicare Advantage	$33,826.18
Rate for Payer: EmblemHealth Commercial	$106,819.53
Rate for Payer: Humana Medicare Advantage	$36,674.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35,606.51
Rate for Payer: Oxford Commercial	$51,101.52
Rate for Payer: UnitedHealthcare Commercial	$68,401.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,606.51
Rate for Payer: Wellcare Medicare Advantage	$35,606.51

PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC

Facility

$192,297.21

Service Code	MSDRG 405
Min. Negotiated Rate	$58,552.03
Max. Negotiated Rate	$192,297.21
Rate for Payer: Aetna Commercial	$138,814.78
Rate for Payer: Aetna Medicare Advantage	$192,297.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152,654.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152,654.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61,633.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152,654.55
Rate for Payer: Cigna Commercial	$121,953.86
Rate for Payer: Cigna Medicare Advantage	$61,633.72
Rate for Payer: Clover Medicare Advantage	$58,552.03
Rate for Payer: EmblemHealth Commercial	$184,901.16
Rate for Payer: Humana Medicare Advantage	$63,482.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61,633.72
Rate for Payer: Oxford Commercial	$96,390.21
Rate for Payer: UnitedHealthcare Commercial	$129,021.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$61,633.72
Rate for Payer: Wellcare Medicare Advantage	$61,633.72

PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC

Facility

$89,589.71

Service Code	MSDRG 407
Min. Negotiated Rate	$27,278.92
Max. Negotiated Rate	$89,589.71
Rate for Payer: Aetna Commercial	$65,665.33
Rate for Payer: Aetna Medicare Advantage	$89,589.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,565.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,565.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,714.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,565.75
Rate for Payer: Cigna Commercial	$49,481.54
Rate for Payer: Cigna Medicare Advantage	$28,714.65
Rate for Payer: Clover Medicare Advantage	$27,278.92
Rate for Payer: EmblemHealth Commercial	$86,143.95
Rate for Payer: Humana Medicare Advantage	$29,576.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$28,714.65
Rate for Payer: Oxford Commercial	$39,109.35
Rate for Payer: UnitedHealthcare Commercial	$52,349.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,714.65
Rate for Payer: Wellcare Medicare Advantage	$28,714.65

PANCREAS TRANSPLANT

Facility

$162,475.67

Service Code	APR-DRG 0064
Min. Negotiated Rate	$159,289.87
Max. Negotiated Rate	$162,475.67
Rate for Payer: UnitedHealthcare Community & State	$159,289.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$162,475.67
Rate for Payer: Wellpoint Medicaid Managed Care	$159,289.87

PANCREAS TRANSPLANT

Facility

$128,630.10

Service Code	APR-DRG 0063
Min. Negotiated Rate	$126,107.94
Max. Negotiated Rate	$128,630.10
Rate for Payer: UnitedHealthcare Community & State	$126,107.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$128,630.10
Rate for Payer: Wellpoint Medicaid Managed Care	$126,107.94

PANCREAS TRANSPLANT

Facility

$87,772.45

Service Code	APR-DRG 0061
Min. Negotiated Rate	$86,051.42
Max. Negotiated Rate	$87,772.45
Rate for Payer: UnitedHealthcare Community & State	$86,051.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$87,772.45
Rate for Payer: Wellpoint Medicaid Managed Care	$86,051.42

PANCREAS TRANSPLANT

Facility

$105,660.04

Service Code	APR-DRG 0062
Min. Negotiated Rate	$103,588.27
Max. Negotiated Rate	$105,660.04
Rate for Payer: UnitedHealthcare Community & State	$103,588.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$105,660.04
Rate for Payer: Wellpoint Medicaid Managed Care	$103,588.27

PANCREAS TRANSPLANT

Facility

$246,170.53

Service Code	MSDRG 010
Min. Negotiated Rate	$68,437.28
Max. Negotiated Rate	$246,170.53
Rate for Payer: Aetna Medicare Advantage	$246,170.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133,261.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133,261.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$78,900.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133,261.05
Rate for Payer: Cigna Commercial	$68,437.28
Rate for Payer: Cigna Medicare Advantage	$78,900.81
Rate for Payer: Clover Medicare Advantage	$74,955.77
Rate for Payer: EmblemHealth Commercial	$236,702.43
Rate for Payer: Humana Medicare Advantage	$81,267.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$78,900.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$78,900.81
Rate for Payer: Wellcare Medicare Advantage	$78,900.81

PANCREAT EXOCRINE CELL AB

Facility

$60.25

Service Code	HCPCS 86255
Hospital Charge Code	38476000
Hospital Revenue Code	302
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$32.78
Rate for Payer: Aetna Medicare Advantage	$39.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.71
Rate for Payer: Cigna Commercial	$30.12
Rate for Payer: Cigna Medicare Advantage	$12.05
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.66
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.04
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Medicare Advantage	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.71

PANCREAT EXOCRINE CELL AB

Facility

$60.25

Service Code	HCPCS 86255
Hospital Charge Code	38476000
Hospital Revenue Code	302
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$9.04

PANCREATIC POLYPEPTIDE

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900446
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$50.05
Rate for Payer: Aetna Medicare Advantage	$59.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.75
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.40
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Medicare Advantage	$18.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

PANCREATIC POLYPEPTIDE

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900446
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PANCREAZE 21000U

Facility

$48.24

Service Code	NDC 62541040510
Hospital Charge Code	606390159
Hospital Revenue Code	250
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$24.12
Rate for Payer: Aetna Commercial	$18.33
Rate for Payer: Aetna Medicare Advantage	$14.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.30
Rate for Payer: Cigna Commercial	$24.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.54
Rate for Payer: Oxford Commercial	$9.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.24
Rate for Payer: UnitedHealthcare Commercial	$9.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.37

PANCREAZE 21000U

Facility

$48.24

Service Code	NDC 62541040510
Hospital Charge Code	606390159
Hospital Revenue Code	250
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$7.24
Rate for Payer: Qualcare PPO/HMO/WC	$7.24

PANCRELIPASE 4200 U

Facility

$8.11

Hospital Charge Code	606390040
Hospital Revenue Code	250
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

PANCRELIPASE 4200 U

Facility

$8.11

Hospital Charge Code	606390040
Hospital Revenue Code	250
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.05
Rate for Payer: Aetna Commercial	$3.08
Rate for Payer: Aetna Medicare Advantage	$2.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.07
Rate for Payer: Cigna Commercial	$4.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.11
Rate for Payer: Oxford Commercial	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$1.62
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

PANCURONIUM BROMIDE/1MG/1

Facility

$9.38

Service Code	NDC 409464601
Hospital Charge Code	60633607
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$4.69
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.39
Rate for Payer: Cigna Commercial	$4.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.44
Rate for Payer: Oxford Commercial	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.41
Rate for Payer: UnitedHealthcare Commercial	$1.88
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

Know your out-of-pocket cost for care.

All Charges